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0100 DUMONT DRIVE - Health
100 DUMONT DRIVE Hyannis A = 307 — 092 0 No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 01pplication for Misposal 6pstetu Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon Yv ❑Complete System ❑Individual Components Location Address or Lot No. 100 p vW&)T D_&jvt: Owner's Name,Address,and Tel.No. l�Y�[JIC7lS h'(/4`tT'(•4CW cx�G4Vt� Assessor's Map/Parcel 0 ©clOk OCR ('UA-1001 UJUE 0td l Installer's Name,Address,and Tel.No. 5o'g-4ll—$$°1 r7 Designer's Name,Address,and Tel.No. Cv4Pt✓cs-XnG EN ,rdJs� c.c_c l ug A-(, &-r- A&N-P� N r/4" Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) bb aJ EX,sn oCY _54-nc� SySttsm Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. ,t gn d 11671P 17o Date l o v a ®t`C Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ' Date Issued No.w Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2ppYicatiou for -Misposal .pstem Construction 3permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon X) ❑Complete System ❑Individual Components Location Address or Lot No. 1 Q V D v k")T j)7jb jUG' Owner's Name,Address,and Tel.No. NYAUt11S MA't-rµcW Wc'a4v Assessor's Map/Parcel 3 O Q a too p k,d tJT VE ,A 0Q( Installer's Name,Address,and Tel.No. 50$-4"7'1 -8$*17 Designer's Name,Address,and Tel.No. C�lotwvti7G E0*2ft-565 "C- /s 3 c nuc crAt, s7r MArSt�P Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) t t Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd 3r Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations'(Answer when applicable) Date last inspected. Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. i d o Date 10 �1 "'0 01 Application Approved by ate Application Disapproved by Date for the following reasons ;a. Permit No. Date Issued US THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(J ) Abandoned(x)by P&W & i$e at Wo L Domw-r NwvE 4Y,4 tJ N N has been cons ct n a e with the provisions of Title 5 and the for Disposal System Construction Permit N . ated Installer CA Q E W/D e �/�/� j'/,(ISC S LL(,Designer /-)/ #bedrooms Approved designfl w gpd The issuance of this permit shall not/b`e/const Ld- a guarantee that the system wil ctibn-as desii ed. ✓ i'� C ' ? Date / / Inspector � G�1�� No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS 30isposar 6pstem ConstruLtion Vermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon)0 System located at (aU D V wt C7.l�lT D a(✓L ('�i y A��s and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construodon ust b completed within three years of the date of this permit. j Date Approved by 1 ,4 tHE Town of Barnstable Barn .�. Regulatory Services Department &"NSTA11M I I ;6` Public.Health Division ._. .. 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -0165 March 28, 2013 STEVEN &DANIELLE HALLISEY 36 CLINTON RD IMPORTANT NOTICE MELROSE, MA 02176 Map & Parcel: 307- 092 The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 100 Dumont.Dr, Hyannis, MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint .against you, in a court of law. For additional information pertaining to the sewer connection, please see the reverse side of this page. PER ORDER OF THE OARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW g Enc. QASEWER connect\Letters Stewart Creek Sewer Connects\MAILING L.etA Sewer 2Pgs Merged 3-28-13 Yr2015.doc I - Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: A reminder to those of you who need a grinder Rump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: p You must pay the installation cost through ygur own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of 1420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loans available lease see the enclosed brochure or see the town website: http://www.town.barnstable.ma.us/cdbg (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstable.ma.us/PubllcWork-sTech/sewerinstalIei-s. Contractors, approved to perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection.Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at(508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connect\Letters Stewart Creek Sewer Connects\MA1LING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc